Organization Active NPI

C. L. Williams Enterprises, Inc.

Doing business as Right at Home Washtenaw

  • In Home Supportive Care Agency
  • Ann Arbor, MI
National Provider Identifier
1215590948
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
C. L. WILLIAMS ENTERPRISES, INC.
Doing business as
Right at Home Washtenaw
Practice address
2355 E Stadium Blvd Ste 2
Ann Arbor, MI 48104-4800
Phone
(734) 971-5000
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian P Kelley
Title
Owner
Phone
(734) 971-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2355 E Stadium Blvd Ste 2
Ann Arbor, MI 48104-4800

Mailing address

2355 E Stadium Blvd Ste 2
Ann Arbor, MI 48104-4800
Phone (734) 971-5000

Other identifiers 1

IdentifierTypeStateIssuer
800730616OtherMISTATE OF MICHIGAN LARA

Other names 1

  • Right at Home Washtenaw Doing business as

National Provider Directory

National Provider Directory

Locations

2355 E Stadium Blvd
Ste 2
Ann Arbor, MI 48104
Phone (734) 971-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1215590948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E STADIUM BLVD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044800",
            "telephone_number": "734-971-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E STADIUM BLVD STE 2",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044800",
            "telephone_number": "734-971-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. L. WILLIAMS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-971-5000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN LARA",
            "identifier": "800730616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home Washtenaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.